Electronic Lab Reporting On-Boarding Process  

Click the steps below for more information.

  • Stage 1: Complete Steps 1-3
  • Stage 2: Complete Steps 1-6

Step 1: Registration

Eligible Provider or Eligible Hospital notifies ADH of interest in submitting Electronic Lab Reportable data for Meaningful Use.
  1. Complete the Electronic Lab Reporting Registration Process

Note for Eligible Professionals: *Completion of this step assumes the data submitter has acquired and implemented a certified health IT product capable of producing an HL7 2.5.1 Electronic Lab Reporting message.

  1. Go to Step 2: Pre-testing

Step 2: Pre-testing

Eligible Provider or Eligible Hospital generates and evaluates Electronic Lab Reportable test messages.
  1. Review the Electronic Lab Reporting implementation guides:
  2. Use the certified EHR system to create a set of test messages according to the specifications in the implementation guides. Use of HL7 2.5.1 message is required.

  3. Validate the Hl7 message using the National Institute of Standards and Technology (NIST) ELR HL7 V2.5.1 Validation Tool.
    • NIST ELR Web Address: http://hl7v2-elr-testing.nist.gov/mu-elr/
      • Click on “Context-free Validation” and input message into the Message Content field.
        • The tool is intended for certifying 2014 Edition Meaningful Use EHR technology. Do not submit test messages containing personally identifiable health information.
      • Save file as PDF and name the file: Message Validation Report.pdf
      • User will be asked to upload message validation report in the following step (Step 3: Testing).
    • User instructions can be found under the “Documentation” tab at the NIST.

    Additional testing tools below:

    Please note: ADH will require the user to upload a validation report from NIST in order to place the provider/facility in a holding queue..

    Address any errors identified by the validation tool.

Step 3: Testing

Eligible Provider or Eligible Hospital submits Electronic Lab Reportable test message to ADH.

Questions: Please contact Electronic Lab Reporting Registry: ADH.ELR.MU@arkansas.gov

Email is not a secure mechanism of data transfer. Do not submit test messages containing personally identifiable health information though email. The agency reviews the messages, ensuring they meet standards specified for Meaningful Use. Once review is complete, the agency provides communication about the outcome of testing that can be used for attestation purposes.

For Stage 1 of Meaningful Use, completion of testing satisfies the requirements for attestation.
Stage 2 will continue until production.

Step 4: In Queue

Eligible Provider or Eligible Hospital is placed on a waiting list for ongoing submission and additional validation.

Eligible hospitals or professionals who have successfully submitted qualifying test messages are placed into the queue. ADH Program Coordinators will notify eligible providers in order of registration.

We anticipate the length of the queue will grow as Meaningful Use progresses. To improve timeliness, please provide ADH with Electronic Lab Reporting validation reports and test messages (see Step 3) as early as possible in your attestation process.

Once an eligible hospital or professional reaches the front of the queue, they will be notified by an ADH program coordinator when it is time to move on to Step 5: Validation.

Step 5: Validation

Eligible Provider or Eligible Hospital establishes ongoing Electronic Lab Reportable data feed to ADH and work with Program Coordinator for data validation.
  1. Select a data transport mechanism for ongoing submission of Electronic Lab Reporting data.
    Arkansas Department of Health supports the following transport options: Virtual Private Network (VPN), Secure File Transport Protocol, HTTPS Web Service (preferred transmission of choice), Public Health Information Network Messaging System (PHINMS), and the Arkansas State Health Alliance for Records Exchange (SHARE).
SFTP is a secure file transfer tool based on industry-standard Hyper Text Transfer Protocol Secure (HTTPS), hosted by Arkansas Department of Information Services (DIS).
VPN stands for Virtual Private Network. A VPN allows you to create a secure channel of communication (a.k.a. a "tunnel") over a public network such as the Internet. Security is provided through authentication, to ensure that the entity connecting is authorized, and through encryption, to protect the data in transit.
HTTPS Web Service
***Web Service to include all other public health objectives within ADH. (preferred transmission of choice)***
PHINMS is the public health standard for reporting to the Centers for Disease Control and Prevention (CDC) and is a standard for national laboratories reporting to states. The software is freely available from the CDC.
The Arkansas HIE is implemented

  1. Set up a transport mechanism.

  2. Transmit a test message via the transport mechanism.

  3. Begin ongoing submission and participate in validation activities.

  4. Go to Step 6: Production

Step 6: Production

Eligible Provider or Eligible Hospital reports via Electronic Lab Reportable data and participates in periodic quality assurance activities.
  1. Continue ongoing submission of Electronic Lab Reportable data to public health.

    If public health identifies a need to follow-up on data indicating an event of potential public health concern, they will contact data providers.

    Eligible hospitals and professionals will be required to participate in periodic quality assurance checks to ensure accuracy of reporting. Arkansas Department of Health program coordinators will contact data providers to schedule these activities

Do you want to know more about Meaningful Use activities at the Arkansas Department of Health? Please visit our Meaningful Use Website at www.adh.meaningfuluse.arkansas.gov

ELR Roadmap to Interoperability
Checklist of Required On-boarding Activities

Questions? Please contact Electronic Lab Reporting Registry: ADH.ELR.MU@arkansas.gov